Provider Demographics
NPI:1437879582
Name:JUNIPER COUNSELING AND WELLNESS
Entity Type:Organization
Organization Name:JUNIPER COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, PHD
Authorized Official - Phone:484-718-2143
Mailing Address - Street 1:1321 BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ROMANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4784
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1321 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:ROMANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-4784
Practice Address - Country:US
Practice Address - Phone:484-718-2143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty